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Below are the required client forms we use in our office which must be read and/or completed before your spa session begins. The Notice of Privacy Practices is informational--it discusses how your personal health information (PHI) may be used. The Client Intake Registration and the Consent forms must be completed/signed by you and then submitted to your practitioner before your session can begin.
NOTE: The Consent for Cosmetic Teeth Whitening form is required only if you are planning to have this service.
REQUIRED Client Forms:
1.
Notice of Privacy Practices (ALL: READ)
2.
Client Intake Registration & Health Form (ALL: PRINT, READ, & SIGN)
3.
Consent for Use and Disclosure of PIH for Treatment, Payment, or Healthcare Operations
(ALL: PRINT, READ, & SIGN)
4.
Consent for Cosmetic Teeth Whitening and Waiver (PRINT, READ, & SIGN -- if having cosmetic teeth whitening)
To view these forms may require that you download and install the free Adobe Acrobat Reader if it is not already installed on your machine.
You can save some time by printing the required forms at your home or office and reading and completing them at your leisure. Please print legibly and remember to bring them with you to your appointment. Arrive a few minutes early so that we may review them together and so that I may ask you questions and so that you can ask me any questions that you may have.
Please arrive at least 15 minutes early if you intend to complete these intake forms at our office and so that we have time to discuss their contents. People who have extensive medical history and/or health issues may require additional time. Please use your best judgment. Waiting to complete the intake forms at your scheduled appointment time will require service time to be reduced to fit.
Clients who have already completed and submitted the intake forms but who have experienced substantial changes in their health since their last visit (OR if it has been longer than a year since the last visit) will need to resubmit the forms so that we may keep files current.
We recommend staying hydrated the day of your massage or spa session. Afterward, we suggest increasing your normal water intake to help your body flush any toxins which may have been released by your muscles during the session. Please read page four of the spa menu for more information.#
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